{
"Npi": {
"NPI": "1043303225",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HEMSTREET",
"FirstName": "BRETT",
"MiddleName": "ELLIOTT",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "PH.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1026 N OAKWOOD RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ENID",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "73703-2924",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "580-234-5330",
"MailingAddressFaxNumber": "580-234-8793",
"FirstLinePracticeLocationAddress": "1026 N OAKWOOD RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ENID",
"PracticeLocationAddressStateName": "OK",
"PracticeLocationAddressPostalCode": "73703-2924",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "580-234-5330",
"PracticeLocationAddressFaxNumber": "580-234-8793",
"EnumerationDate": "10/02/2006",
"LastUpdateDate": "07/09/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "103T00000X",
"TaxonomyName": "Psychologist",
"LicenseNumber": "899",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "103T00000X",
"TaxonomyName": "Psychologist",
"LicenseNumber": "966",
"LicenseNumberStateCode": "KS",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}